Multiple Bifurcated Covered Self-Expanding Metallic Stents for Complex Tracheobronchial Fistulas or Stenosis

Bi, Yonghua; Li, Jindong; Yu, Zepeng; Ren, Jianzhuang; Han, Xinwei; Wu, Gang

doi:10.1007/s00270-018-2126-6

Cited by 8 publications

(5 citation statements)

References 27 publications

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“…The clinical success rate of SEMSs for airway stenoses and fistulas was reported to be 93% (26/28). 6 This treatment of patients with malignant CAS and CAF was found to be effective for QOL of patients.…”

Section: Discussionmentioning

confidence: 92%

Clinical outcomes and survival following placement of self‐expandable metallic stents for central airway stenosis and fistula

et al. 2020

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Significant findings of the study: mMRC grade, PS and symptoms improved after SEMS placement in 87.5% of patients with malignant CAS or CAF. Some patients were able to live longer because of effective therapies after SEMS placement. What this study adds: Patients with malignant central airway stenosis are usually terminal. Their lifespan can be lengthened by inserting SEMSs combined with new efficient therapies.

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Section: Discussionmentioning

confidence: 92%

Clinical outcomes and survival following placement of self‐expandable metallic stents for central airway stenosis and fistula

et al. 2020

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“…And the complications are similar among two types of the stents in most conditions which included migration, granulation, diminished mucociliary clearance and patient intolerance. Previous studies have reported the complication rate of 16.1-40.9% in re-establishment of airway with Y stents and 31.3-44.4% with SEMS (15)(16)(17).…”

Section: Discussionmentioning

confidence: 97%

Hybrid stenting with silicone Y stents and metallic stents in the management of severe malignant airway stenosis and fistulas

Chen¹,

Zhou²,

Feng³

et al. 2021

Transl Lung Cancer Res

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Background: Airway stenting is frequently used in the palliative treatment of patients with advanced tumor-induced airway stenosis and fistulas. However, there is paucity of studies regarding the use of airway stents in restoring patency. The aim of the study was to assess the efficacy and safety of hybrid silicon Y stents and covered self-expanding metal stents (SEMS) and in reestablishing patency in airway stenoses and fistulas. Methods: This retrospective study included 31 patients between January 2016 to December 2019 with inoperable complex malignant airway stenoses and fistulas, managed with Silicone Y stents, and covered SEMS. The clinical details, clinical outcomes and complications up to 6 months were extracted from medical records. The improvement of performance was assessed based on modified British Medical Research Council (mMRC) dyspnea scores (t=6.892, P<0.001), Karnofsky Performance Scores (KPS) (t=−11.653, P<0.001), and performance status (PS) (t=3.503, P<0.001). Result: A total of 31 silicon Y stents and 35 covered SEMSs were inserted. Of the 31 patients (M:F 20:11; age: 54.64±9.57), 25/31 (80.6%) experienced immediate relief of symptoms following stent placement.Patients' mMRC dyspnea scores, KPS, and PS showed significant improvement following stenting. The mean duration of stent placement was 146.3±47.7 days, and 17/31 (55%) patients were alive at 6 months. No major complications related to hybrid stenting were observed during the follow-up period.Conclusions: Hybrid stenting is a feasible and safe palliative treatment for malignant airway stenosis and fistulas to improve quality of life and can be performed without major complications.

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“…This may be attributed to excellent conformation to the anatomy of complex and tortuous airways. In addition, it was also reported that multiple covered, bifurcated SEMS showcased high degrees of safety and efficacy for complex tracheobronchial stenosis or fistulas (13).…”

Section: Covered Stentsmentioning

confidence: 99%

A narrative review of progress in airway stents

Tian

Huang

et al. 2022

J Thorac Dis

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Background and Objective: Airway stents, used to restore airway patency, are mostly utilized by patients with malignant airway strictures, and are occasionally used in a range of other airway related diseases, including conditions which result in benign stenosis, malacia, and fistula. There has been an increasing number of airway stents that are being developed thanks to improvements in interventional therapy. However, the method of promoting airway stents for clinical application remains undetermined.Herein, we describe the recent advances in airway stents by reviewing the published studies, providing the reference for clinical decision-making and further research on airway stents.Methods: Relevant articles between January 1964 and November 2021 were obtained from PubMed, Web of Science, and EMBASE databases. The terms "metallic", "silicone", "drug-eluting", "biodegradable", "radioactive", "three-dimensional (3D)", and "stents" were searched in different combinations.

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Multiple Bifurcated Covered Self-Expanding Metallic Stents for Complex Tracheobronchial Fistulas or Stenosis

Cited by 8 publications

References 27 publications

Clinical outcomes and survival following placement of self‐expandable metallic stents for central airway stenosis and fistula

Clinical outcomes and survival following placement of self‐expandable metallic stents for central airway stenosis and fistula

Hybrid stenting with silicone Y stents and metallic stents in the management of severe malignant airway stenosis and fistulas

A narrative review of progress in airway stents

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